Provider Demographics
NPI:1437219896
Name:PIEREN, BEVERLY KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:KAY
Last Name:PIEREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:UPPER BLACK EDDY
Mailing Address - State:PA
Mailing Address - Zip Code:18972
Mailing Address - Country:US
Mailing Address - Phone:610-982-9600
Mailing Address - Fax:610-982-9629
Practice Address - Street 1:21 E 93RD STREET
Practice Address - Street 2:ROSENTHAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:917-974-6675
Practice Address - Fax:212-987-4935
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0440751104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN2K991Medicare ID - Type Unspecified